| Russell Anthony Pecoraro, MD | |
|
2023 Professional Center Dr, Orange Park, FL 32073-4468 | |
| (904) 272-2020 | |
| Not Available |
| Full Name | Russell Anthony Pecoraro |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 23 Years |
| Location | 2023 Professional Center Dr, Orange Park, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891887394 | NPI | - | NPPES |
| 7100007660 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME97791 (Florida) | Primary |
| 207W00000X | Ophthalmology | R0838 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harris Wilcox And Donovan Pa | 4981776333 | 18 |
| Entity Name | Harris Wilcox And Donovan Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023120409 PECOS PAC ID: 4981776333 Enrollment ID: O20080701000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Anthony Pecoraro, MD 2023 Professional Center Dr, Orange Park, FL 32073-4468 Ph: (904) 272-2020 | Russell Anthony Pecoraro, MD 2023 Professional Center Dr, Orange Park, FL 32073-4468 Ph: (904) 272-2020 |
Clarence M Harris, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2023 Professional Center Drive, Orange Park, FL 32073 Phone: 904-272-2020 Fax: 904-276-4386 | |
John P Donovan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2023 Professional Center Drive, Orange Park, FL 32073 Phone: 904-272-2020 Fax: 904-276-4386 | |
Dr. Donald M Downer, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2023 Professional Dr., Orange Park, FL 32073 Phone: 904-272-2020 Fax: 904-272-5762 | |
Dr. David W Hayes, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2023 Professional Center Dr, Orange Park, FL 32073 Phone: 904-272-2020 Fax: 904-276-4386 | |
John Robert Bullock, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2023 Professional Center Dr, Orange Park, FL 32073 Phone: 904-272-2020 | |
John D Wilcox Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2023 Professional Center Drive, Orange Park, FL 32073 Phone: 904-272-2020 Fax: 904-276-4386 |